Application For Professional Identification Card - Philippines Professional Regulation Commission Page 2

PROCEDURES

Step 1. Present duly accomplished form together with the requirements at Assessment Windows

Window 17

Window 18

Window 30

Step 2. Pay prescribed fees at the Cashier. (Windows 33, 34 and 35)

Step 3. Get your claim slip at Windows 17, 18 and 30

Step 4. Claim your professional license as scheduled. Please refer to your claim slip for

further instructions.

REQUIREMENTS

1. Duly accomplished form

2. Two (2) pcs passport size picture: close up, colored, white background with complete name tag

3. Photo/xerox copy of recent professional ID card

4. In case of LOST professional ID card which is still current, the applicant shall submit

notarized Affidavit of Loss

5. In case of DESTROYED professional ID card, the applicant shall surrender the

destroyed card

NOTE : As the authorized representative, I assume direct and full

responsibility/liability for the security of the professional ID.

Signature over Printed Name of REPRESENTATIVE

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Parent category: Legal